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CYP2C9 Drug Metabolism Gene Test

Idaho rates for HCPCS 81227

Examines the CYP2C9 gene, which carries the instructions for a liver enzyme that breaks down a specific set of medicines. The test checks for the common variants and reports whether a person clears those drugs normally or more slowly than usual, which affects the dose they need.

Rates data updated July 2026.

How much does CYP2C9 Drug Metabolism Gene Test cost?

$178

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$166 to $200
FacilityA hospital or hospital-owned outpatient department$263$174 to $437

How much rates vary

Facilitymedian $263 · 10th to 90th $174 to $617Professionalmedian $178 · 10th to 90th $123 to $339
$100$200$500facility $263professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$363.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$181.97
Select Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$173.78

Where Idaho sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 16th of 51

$178

AK $389MD $132

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.